Provider Demographics
NPI:1245558261
Name:BIRMINGHAM EVALUATION SERVICES TECHNOLOGY
Entity Type:Organization
Organization Name:BIRMINGHAM EVALUATION SERVICES TECHNOLOGY
Other - Org Name:BEST
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:NORTICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-591-7246
Mailing Address - Street 1:880 MONTCLAIR RD
Mailing Address - Street 2:STE 571
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1972
Mailing Address - Country:US
Mailing Address - Phone:205-591-7929
Mailing Address - Fax:205-591-7013
Practice Address - Street 1:880 MONTCLAIR RD
Practice Address - Street 2:STE 571
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1972
Practice Address - Country:US
Practice Address - Phone:205-591-7929
Practice Address - Fax:205-591-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty